ACTUAL HESI RN EXIT EXAMINATION TEST
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ 2. Which conditions are most likely to respond to treatment with
antihistamines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis. Answer: b. Allergic rhinitis
d. Contact dermatitis
◉ 3. An older client's daughter calls the home health nurse and
reports that her
mother has become forgetful and is very confused at night. The
daughter
states that her mother's behavior changed suddenly a few days ago
and is
now getting worse. Which action should the nurse take? Select all
that apply.
a. Ask if the mother is experiencing any pain with urination
,b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall Answer: a.
Ask if the mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
◉ 4. The nurse is assessing a male with a history of Addison's
disease. The client
has flu-like symptoms and nausea with vomiting over the past week.
The
client's spouse reports that he acted confused and was extremely
weak when
he awoke this morning. The client is febrile and has tachycardia. The
health
care provider diagnoses acute adrenal insufficiency. Which
medication will
most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema
disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP
reaches 110
mmHg
,c. Potassium chloride 20 mEq IV to infuse over 2 hours until
confusion
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl
(5.55
mmol/L) Answer: b. Hydrocortisone 100 mg IV every six hours until
systolic BP reaches 110
mmHg
◉ 5. A client with a history of mitral valve prolapse is admitted
because of fever
and dyspnea on exertion, and is diagnosed with acute infective
endocarditis.
During the admission assessment, the nurse observes multiple areas
of
petechiae on the client's skin. Which intervention should the nurse
include in
the client's plan of care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions Answer: a. Monitor
cardiac rhythm via telemetry
, b. Report changes in pre-existing murmurs
◉ 6. The nurse is planning an educational session for new parents
on ways to
prevent sudden infant death syndrome (SIDS). Which information is
most
important to provide parents of newborns and infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime
Answer: c. Position the infant in a supine position while sleeping
◉ 7. The healthcare provider prescribes methylergonovine maleate
for a
postpartum client with uterine atony. What findings should indicate
to the
nurse to withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia Answer: a. Hypertension
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ 2. Which conditions are most likely to respond to treatment with
antihistamines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis. Answer: b. Allergic rhinitis
d. Contact dermatitis
◉ 3. An older client's daughter calls the home health nurse and
reports that her
mother has become forgetful and is very confused at night. The
daughter
states that her mother's behavior changed suddenly a few days ago
and is
now getting worse. Which action should the nurse take? Select all
that apply.
a. Ask if the mother is experiencing any pain with urination
,b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall Answer: a.
Ask if the mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
◉ 4. The nurse is assessing a male with a history of Addison's
disease. The client
has flu-like symptoms and nausea with vomiting over the past week.
The
client's spouse reports that he acted confused and was extremely
weak when
he awoke this morning. The client is febrile and has tachycardia. The
health
care provider diagnoses acute adrenal insufficiency. Which
medication will
most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema
disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP
reaches 110
mmHg
,c. Potassium chloride 20 mEq IV to infuse over 2 hours until
confusion
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl
(5.55
mmol/L) Answer: b. Hydrocortisone 100 mg IV every six hours until
systolic BP reaches 110
mmHg
◉ 5. A client with a history of mitral valve prolapse is admitted
because of fever
and dyspnea on exertion, and is diagnosed with acute infective
endocarditis.
During the admission assessment, the nurse observes multiple areas
of
petechiae on the client's skin. Which intervention should the nurse
include in
the client's plan of care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions Answer: a. Monitor
cardiac rhythm via telemetry
, b. Report changes in pre-existing murmurs
◉ 6. The nurse is planning an educational session for new parents
on ways to
prevent sudden infant death syndrome (SIDS). Which information is
most
important to provide parents of newborns and infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime
Answer: c. Position the infant in a supine position while sleeping
◉ 7. The healthcare provider prescribes methylergonovine maleate
for a
postpartum client with uterine atony. What findings should indicate
to the
nurse to withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia Answer: a. Hypertension
